Kellen Scantlebury, | |
611 Old Willets Path Ste 105, Hauppauge, NY 11788-4115 | |
(631) 232-5350 | |
Not Available |
Full Name | Kellen Scantlebury |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 611 Old Willets Path Ste 105, Hauppauge, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326477498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P90296 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fit Club Inc | 4385905348 | 4 |
Provider Name | Fit Club Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225570807 PECOS PAC ID: 4385905348 Enrollment ID: O20180308000315 |
Mailing Address | Practice Location Address |
---|---|
Kellen Scantlebury, 611 Old Willets Path Ste 105, Hauppauge, NY 11788-4115 Ph: () - | Kellen Scantlebury, 611 Old Willets Path Ste 105, Hauppauge, NY 11788-4115 Ph: (631) 232-5350 |
Body In Balance Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 611 Old Willets Path, Hauppauge, NY 11788 Phone: 631-232-5350 | |
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Dr. Patrick Gathman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 611 Old Willets Path, Hauppauge, NY 11788 Phone: 631-232-5350 | |
Erin Flader, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1383 Veterans Memorial Hwy, Hauppauge, NY 11788 Phone: 631-582-0088 | |
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